NYC HRA MEDICAID PROGRAM CONTACTS 

1.  Medicaid depts. (not Home Care)

• (Undercare, Applications, Renewals, Eligibility Information Services, Reimbursement, Surplus Unit, Transportation
• Fair Hearing Division
• Nursing Home Eligibility Dept.  (NHED) 

2. Home Care Services Program  (includes CASA)

1-888-692-6116

Medicaid info https://www.nyc.gov/site/hra/help/health-assistance.page

Case action update requests

Case or Budgeting Changes

undercareproviderrelations@hra.nyc.gov - use encrypted mail or password-protected attachment.

or Fax 1-917-646-0837.   See this August 2024 Medicaid Alert 
WHAT TO SUBMIT:  Attach either

• signed  MAP 751k form required (encrypted)(correct,, add or change date of birth, SSN, gender,  change of address & phone number, ,transfer from county-to-county requests - write "LUBERTO")
• MAP 751W (close case, add or remove someone from case, report death, request  budgeting changes including pooled trust, evaluate for MSP eligibility, report change in immigration status, add or remove Third Party Health Insurance)

See NYC Medicaid Alert: MAP Undercare Division -  9/8/21 Alert 

General Public -who are not authorized submitters

• E-FAX applications to 917-639-0732  -- NOT for Immediate Need applications
• or MAIL to HRA/MAP Initial Eligibility Unit PO BOX, 24390 Brooklyn, NY 11202-9814 
• MAKE CLEAR ON APPLICATION IF SEEKING TO ENROLL IN MLTC, or SEEKING MEDICAID ONLY.  
• If applying with Immediate Need for Personal Care or CDPAP- see below. 

Authorized Submitters (C-REPs) ONLY have THREE ways to submit applications - use only ONE method on any case

• fax applications to  917-639-0731   
• hand-deliver applications in bulk to  4th floor, Window 7 at  495 Clermont Ave.
• e-mail applications to mapcrepreferrals@hra.nyc.gov (announced in 8/2024 Alert)
• 30 days after application submitted, C-reps may e-mail follow up inquiries to  mapcedreferrals@hra.nyc.gov.

Immediate Need - see below. 

212-273-0062 (phone)

929-221-0859/60 (phone)

929-221-0865 (phone)

e-Fax (718) 636-7847  If down use instead 
 (718)-636-7852 or (718) 636-7846.

917-639-0675 (e-fax)
e-mail: maptphi@hra.nyc.gov

Commercial Health Insurance hipp@hra.nyc.gov - premium & reimbursement

929-221-0845 (phone non-home care)
929-221-1193 (phone home care)

917-639-0674 E-FAX (both home care and medical)

E-mail::micsa.fiscal@hra.nyc.gov (both home care and medical)

Maria Rivera

Graciela Mathews

Angel Phifer-Brown (Fax Unit)

929-221-0833 (phone)

929-221-0838 (phone)

929-221-0835 (phone)

917-639-0645 (fax - submit bills to meet spend-down )

(929) 221-0868 /69

Fax (718) 636-7847  TEMPORARILY INOPERABLE as of 4/25/23 - use instead 
 (718)-636-7852 or (718) 636-7846.

For info on status of trust for client not receiving MLTC or immediate need -
email undercareproviderrelations@hra.nyc.gov 

MIPP program

Electronic Benefit Transfer (EBT) Card Assistance for Clients  - scroll down to 
dropdown for Replace or Correct an EBT Card for Medicaid Clients

Medicaid Fair Hearings

Record Requests Unit

(Request Evidence Packets)

250 Livingston St. 6th floor  Brooklyn, New York 11201

FAX: 917-639-9355  (New 12-2024)

505 Clermont Ave. 4th fl.  Brooklyn NY 11238

TEL:  (718) 637-2426    FAX:  (718) 923-6452

Compiance & Aid to Continue Unit

(manages compliane with hearing decisions and with OTDA Aid Continuing orders

250 Livingston St., 6th floor,  Brooklyn, NY 11201

TEL:  (929) 221-4791  FAX  (718) 923-7880

Fair Hearing Representation Unit

(reps agency in OTDA hearings)

Provider Relations

TEL 718-557-1368

E-FAX  (917) 639-0687

For inquiries: nhedproviderrelations@hra.nyc.gov

E-Fax 917-639-0736 

(929) 221-0848

(929) 221-8851  or (929) 221-8889

FAX  718-636-7784/7780   email HCRequests@hra.nyc.gov

785 Atlantic Ave., 7th fl, Brooklyn, NY 11238

• Applications for Medicaid and Personal Care/CDPAP for people exempt or excluded from MLTC or managed care (i.e enrolled in home hospice, OPWDD waiver, or TBI or NHTDW waivers)

• If denied MLTC enrollment by NYIA and NYIA refers back to "local district," NYC residents contact THIS UNIT, not the CASAs. - Fax or Email the OUTCOME NOTICE ot this address and request HOUSEKEEPING services (limited to 8 hours/week(

(929) 221-3224 (Deputy Director Cynthia Robinson)

Inquire about case status - hcspinquiries@hra.nyc.gov  (encrypted email)

Philomena Offurum

TEL (929) 221-2501 or (212) 274-5035 

e-FAX (917) 639-0665    offurump@hra.nyc.gov  

e-mail applications  HCRequests@hra.nyc.gov

TEL (929) 221-2427 

FAX  (718) 636-7848

MLTC plans -  mltcproviderrelations@hra.nyc.gov

Assisted Living Programs  alpproviderrelations@hra.nyc.gov

See list at  https://www.nyc.gov/site/hra/locations/casa-locations.page

Felix Rodriguez - Executive Director HCSP Field Operations (Citywide) and 
                             Director of CASA at Bronx, Manhattan, and Staten Island.  (212) 274-5044 
                          rodriguezfe@hra.nyc.gov

Celeste Lewis - Director of CASA South (Queens and Brooklyn). lewisceleste@hra.nyc.gov  718-250-5640

hcspinquiries@hra.nyc.gov - use encrypted mail or password-protected attachment.
Attach signed  MAP 751k form required (encrypted)(correct,, add or change date of birth, SSN, gender,  change of address & phone number, transfer from county-to-county requests - write "LUBERTO")

MAP 751W (close case, add or remove someone from case, report death, request  budgeting changes including pooled trust, evaluate for MSP eligibility, report change in immigration status, add or remove Third Party Health Insurance)

This table  is compiled from these Alerts issued by HRA:  

• 2024-12-17 Medicaid Fair Hearing Move Update

• 2024-08-02 Change of address for C-Rep and Brooklyn_South Main Medicaid office

• 2023-12-28 Contact Information Update for the Medical Assistance Program's Third-Party Health Insurance Unit

• See HRA Fax/E-mail Submissions  to HRA MAP and HCSP Program 8/30/2021

• See 2021-07-22 NYC Medicaid Alert New Home Care Services Program (HCSP) Inquiry Email Address - Inquiries related to HCSP Medicaid case transactions (including demographic changes, address updates, pooled trust reviews, county-to-county transfer requests, Medicare Savings Program (MSP) and coverage updates) may be sent via email to hcspinquiries@hra.nyc.gov.  This email is NOT for submitting applications or documents related to an application.  Encrypted email and information required.

• See 2021-07-21 NYC Medicaid Alert: MAP Undercare Division - Case action update requests (including demographic changes, change of address, transfer from county-to-county requests and coverage updates) may be sent via email to undercareproviderrelations@hra.nyc.gov.  Encrypted email with signed  MAP 751k form required.   This email is NOT for new applications.

OLDER LISTS

• See HRA MICSA Medicaid Alert Dec. 31, 2018  "Department of Social Services HRA Medical Assistance Program (MAP) and Homecare Program" Medical Assistance Program Units and Contacts
• See department head contacts obtained 3/2014 - dated Dec. 2013
• See a detailed list of contacts became available on August 14, 2013.
• See detailed Lists - December 2018